Individual
CHARLES R FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 ISLAND CREST WAY, MERCER IS, WA 98040
(206) 232-5400
(206) 232-9179
Mailing address
3003 ISLAND CREST WAY, MERCER IS, WA 98040
(206) 232-5400
(206) 232-9179
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00020623
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1227305
—
WA
01
—
F415
REGENCE BLUE SHIELD
WA
Enumeration date
08/17/2006
Last updated
07/08/2007
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